The Annals of Thoracic Surgery, Vol 20, 713-715, Copyright © 1975 by The Society of Thoracic Surgeons
Correction of truncus arteriosus after pulmonary artery banding
S Stewart
Correction of truncus arteriosus can be performed in the older child with
low mortality. However, many infants are severely symptomatic with
increased pulmonary blood flow and require banding of the pulmonary artery
at an age when correction has a high mortality. The pulmonary artery band
can complicate the usual technique of the subsequent repair. An alternative
approach following pulmonary artery banding is to interrupt the pulmonary
artery--truncus continuity with a patch from within the truncus and then
place the external valved conduit onto the pulmonary artery in an
end-to-side manner.